Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.46 / $238.46 / $238.46	Facility		$238.46	$238.46	$238.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.10 / $238.46 / $238.46	Professional		$210.10	$238.46	$238.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.35 / $185.44 / $238.46	Professional		$148.35	$185.44	$238.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.64 / $293.45 / $900.00	Facility		$173.64	$293.45	$900.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.64 / $193.30 / $16,586.83	Professional		$173.64	$193.30	$16,586.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $174.72 / $331.92 / $5,793.72	Facility		$174.72	$331.92	$5,793.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $174.72 / $328.84 / $4,812.57	Professional		$174.72	$328.84	$4,812.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $176.76 / $260.95 / $260.95	Professional		$176.76	$260.95	$260.95
United Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $252.77 / $337.02	Professional		$238.46	$252.77	$337.02
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $190.02 / $190.02 / $190.02	Facility		$190.02	$190.02	$190.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.02 / $190.02 / $190.02	Professional		$190.02	$190.02	$190.02